NPPES file of Aug 9, 2026

Stacey Mills Lake, NP

Primary Care Nurse Practitioner · Holladay, UT

Stacey Mills Lake, NP is a primary care nurse practitioner with a practice address in Holladay, Utah, and NPI 1154003473, issued on Aug 4, 2023. Check the license (Utah 5641317-4405, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154003473
Name
Stacey Mills Lake
Credential
NP
Primary taxonomy
Primary Care Nurse Practitioner 363LP2300X
License number
5641317-4405 UT
Self-reported in NPPES; status is on the state search
Practice location
999 E Murray Holladay RD Ste 207, Holladay, UT 84117
Phone
(801) 268-2584
Enumerated
Aug 4, 2023
Record last updated
Jan 22, 2025
Medicare enrollment
Enrolled (PECOS I20230905001693); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 999 E Murray Holladay RD Ste 207

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jordan Roberts, M.D.Family Medicine Physician1588043871

Verify Stacey Mills Lake in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Utah board licenses this profession
    Search for license 5641317-4405
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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12% fewer Medicare Part D claims than the average primary care nurse practitioner in 2024

1,310 Medicare Part D claims for 136 beneficiaries, against an average of 1,492 among the 5,992 providers of this specialty who prescribed in Part D. 37 claims were for opioids.

  1. Stacey Lake1,310
  2. Specialty average1,492

Most prescribed

  1. Trazodone Hcl51 claims
  2. Metformin Hcl Er49 claims
  3. Losartan Potassium48 claims
  4. Escitalopram Oxalate47 claims
  5. Atorvastatin Calcium39 claims
  6. Pantoprazole Sodium39 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $1,671.46

72 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 4,321 providers of this specialty with any payment received $625.13 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Stacey Lake$1,671.46
  2. Specialty average$625.13

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Granger Medical Clinic PCRiverton, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Primary Care Nurse Practitioner providers in Utah

There are 96 primary care nurse practitioner records in Utah.

Other primary care nurse practitioner records in Utah

  1. Kaitlyn Albrecht, MSN, RN, FNP-BCPayson, UT1174141964
  2. Matthew Anderson, FNP-CSalt Lake City, UT1083108872
  3. Tyler AndersonOgden, UT1871359398
  4. Courtnie Arnell, MSN-FNPSt George, UT1427545482
  5. Carli Barlow, MSN, APRN, FNP-CSalt Lake City, UT1306728092
  6. Spencer BartonSandy, UT1174162192
  7. Shauna BenneeFarmington, UT1427704139
  8. Becky Birch, DNP, FNP-CRoosevelt, UT1659785772
  9. Ryan Blad, FNP-CRichfield, UT1902657570
  10. Jacqueline Blakeley, NPMorgan, UT1790134328

Common questions

What is Stacey Mills Lake, NP's NPI number?

Stacey Mills Lake, NP's National Provider Identifier (NPI) is 1154003473, issued on Aug 4, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Stacey Mills Lake, NP located?

The NPPES record lists a practice address at 999 E Murray Holladay RD Ste 207, Holladay, UT, 84117. Phone: (801) 268-2584. Providers update this record themselves, so call before visiting.

How can I verify Stacey Mills Lake, NP's license?

NPPES lists Utah license number 5641317-4405, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.

How much does Stacey Mills Lake, NP prescribe under Medicare Part D?

In 2024, Stacey Mills Lake, NP had 1,310 Medicare Part D claims for 136 beneficiaries; the average among primary care nurse practitioner prescribers was 1,492. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.